Organizational  Change and Ethical-Legal Influences in Advanced Practice Nursing Case  Study  (Orig Post due Wednesday, Responses due Sunday)

     

You are a family nurse practitioner employed in a busy primary care  office. The providers in the group include one physician and three nurse  practitioners. The back office staff includes eight medical assistants  who assist with patient care as well as filing, answering calls from  patients, processing laboratory results and taking prescription renewal  requests from patients and pharmacies. Stephanie, a medical assistant,  has worked in the practice for 10 years and is very proficient at her  job. She knows almost every patient in the practice, and has an  excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her  last appointment was a year ago for the same reason. During this visit,  Mrs. Smith brought an empty bottle of amoxicillin with her and asked if  she could have a refill. You noted the patient’s name on the label, and  the date on the bottle was 1 week ago. You also noted your name printed  on the label as the prescriber. The patient admitted that she called  last week concerned about her cough and spoke to Stephanie. You do not  recall having discussed this patient with Stephanie nor do the other  providers in the practice.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

• Medical assistant
• Nurse Practitioner
• Medical Director
• Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change  in the practice?  Be thinking about the culture of the practice.

Discussion Guiding Principles

The ideas and beliefs underpinning the discussions guide students  through engaging dialogues as they achieve the desired learning  outcomes/competencies associated with their course in a manner that  empowers them to organize, integrate, apply and critically appraise  their knowledge to their selected field of practice. The use of  discussions provides students with opportunities to contribute  level-appropriate knowledge and experience to the topic in a safe,  caring, and fluid environment that models professional and social  interaction. The ebb and flow of a discussion is based upon the  composition of student and faculty interaction in the quest for relevant  scholarship. Participation in the discussion generates opportunities  for students to actively engage in the written ideas of others by  carefully reading, researching, reflecting, and responding to the  contributions of their peers and course faculty. Discussions foster the  development of members into a community of learners as they share ideas  and inquiries, consider perspectives that may be different from their  own, and integrate knowledge from other disciplines.

 

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

1. Select one area in need of improvement and list the general statistics pertaining to the specific problem.
2. How does the creation of the community health center program help to address this public health problem and what can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

The county will be miami dade county, florida 

  all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  

TURNITIN ASSIGNMENT!!! 

Please be aware that the percentage of plagiarism for this assignment is 25%.  

   

1.  Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative.  Pay close attention to the objectives, goals and the indicators.    

2.  Using your city or county public health department: http://miamidade.floridahealth.gov/  You can choose any of these two counties(Miami-Dade County, Florida, or Broward County, Florida) identify an epidemiological and surveillance data related to population based communicable illnesses.     

Illnesses chosen:    

1. Tuberculosis  

2. Hepatitis B  

3. Gonorrhea     

4.  Based on these chosen communicable illness prepare an analysis discussing how this 3-communicable illness affect your community, and how they were identified and a plan of action to contained them base on healthy people 2020.       

– Presentation must be in APA format.   

– Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page)   

– A minimum of 3 evidence based references no older than 5 years are required.    – The assignment must include the zip code of the city or county chosen.         

Once again, the assignment will be posted in turnitin to verify originality!

FREE OF PLAGIARISM!!!!

No plagiarism please.  

 

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.  

Topic: Utilizing Evidence Practice Guidelines

One of the ways that the Nurse Practitioner (advanced practice nurse) can manage risk of being successfully sued for malpractice or negligence is by utilizing evidence practice guidelines.

Explain how these guidelines affect the “standard of care” and discuss with your classmates how utilizing this guideline can be a major strategy to significantly reduce risk to the provider.

 

1) **********minimum 5 full pages ( not words)**************************** (cover or reference page not included) 

2)¨**********APA norms  ( All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences)

3)********** It will be verified by Turnitin and SafeAssign 

4) **********References from the last 5 years  

5) The points don’t be must copied in the work. It must be identified by numbers. 

For example:

1.  Communicable and Infectious disease is ………………………….

2.  The principles related are……………………..

3. The three focus areas are…………….

___________________________________________________

  

INSTRUCTIONS:

1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals, and indicators.

2. Go to: https://www.cdc.gov/outbreaks/index.html and identify 3 community infectious outbreaks such as measles and develop the assignment.

–Using your city or county public health department or the CDC, choose 3 population or community based problems such as disease, disaster, crimes, accidents, falls etc…

–from the topics outlined in the website prepare an analysis discussing how these 3 conditions, 

  a) affect your community 

  b) how they were identified and a plan of action to contained them base on healthy people 2020.

________________________________________________________

 Must include the zip code of the city or county chosen